cms_WV: 3371

In collaboration with The Seattle Times, Big Local News is providing full-text nursing home deficiencies from Centers for Medicare & Medicaid Services (CMS). These files contain the full narrative details of each nursing home deficiency cited regulators. The files include deficiencies from Standard Surveys (routine inspections) and from Complaint Surveys. Complete data begins January 2011 (although some earlier inspections do show up). Individual states are provides as CSV files. A very large (4.5GB) national file is also provided as a zipped archive. New data will be updated on a monthly basis. For additional documentation, please see the README.

Data source: Big Local News · About: big-local-datasette

This data as json, copyable

rowid	facility_name	facility_id	address	city	state	zip	inspection_date	deficiency_tag	scope_severity	complaint	standard	eventid	inspection_text	filedate
3371	SPRINGFIELD CENTER	515188	10797 SENECA TRAIL SOUTH	LINDSIDE	WV	24951	2017-11-08	156	D	0	1	XW9J11	Based on staff interview, Center for Medicaid and Medicare Services (CMS) Survey and Certification (S&C) letter review, and a review of liablity notices, the facility failed to provide the correct notice when the resident exhausted their Medicare covered skilled nursing facility benefit days. This failed practice affected one (1) of three (3) residents reviewed. Resident identifier: #6. Facility census: 58. Findings include: a) Resident #6 On 11/07/17 at 1:55 p.m., a review of the liability notices revealed Resident #6 received the Notice of Medicare Non-Coverage (NOMNC) Centers for Medicaid and Medicare Services (CMS) form on 07/07/17. The NOMNC form indicated the resident would exhaust Medicare Part A benefits on 07/12/17. On 11/07/17 at 2:02 p.m., Social Worker (SW) #60 said the resident recieved the NOMNC because he had exhausted his skilled service days. The NOMNC form explained the resident had the right to appeal this decision. SW #60 also said she had previously been issuing the Skilled Nursing Facility Advanced Beneficiary Notice (SNFABN) along with the NOMNC but now realized this did not need issued each time the NOMNC was issued. According to CMS Survey and Certification (S&C ) letter 09-20, dated 01/09/09, the skilled nursing facility (SNF) must issue the NOMNC when there is a termination of all Medicare Part A services for coverage reasons. The SNF should not issue this notice if the beneficiary exhausts the Medicare covered days as the number of SNF benefit days set in law and the QIO cannot extend the benefit period. Thus, a service termination due to the exhaustion of benefits is not considered a termination for coverage reasons.	2020-09-01